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HomeMy WebLinkAbout072-290-117-7] 72-29-117 VERALL L. _SHELDON SW S Oro Forbestown Rd, app i mi W of Hurleton Swedes Flat Rd,Oro Contr: Oroville Pump & Electric Permit#2249 80E Cel fs ell) I F I i i � a � { t f t -7] 72-29-117 VERALL L. _SHELDON SW S Oro Forbestown Rd, app i mi W of Hurleton Swedes Flat Rd,Oro Contr: Oroville Pump & Electric Permit#2249 80E Cel fs ell) � T-� C�1 C�1 COUNTY OF BUTTE - DCPAF TMENT OF PUBLIC WORKS PERMIT NO. •7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541, "IV �f %'/ ) APPLICAIMN AND PERMIT 7 ' l/ ASSESSORPAR EL NUMBER 7Z- Z _ //7 ZONING BUILDING PERMIT ow R 1 �c'AL L• f��L.L}��U T LEPHONE -3 -/94 SQ. FT. OCC. BUILDING VALUATION OWNER'S ES MAILING ADDRESS s o ieo 1 -IL -i c. VP- 0/26 v1( L l� - CO 7 AC'T /QR•S NAME COZ /,Ij'1 / 7_rr TrELEPH NE CONTRACTOR'S_MAILI r ADD ESS CONSTRUCTION LENDER / ` UNKNOWN Fireplace Total Valuation $ LENDER'S MAI LINGADDRESS Permit Fee $ ARCHITECT OR ENGIN{. ER '�" LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 t r6 Each Trap 2.00 Repair drainage or vent piping 2.00 �til1 rF v- f f� �� • �jr�� �, i% i! Water piping LOT NO. Z SUBDIVISION NAMEPARCEL�MAP ' 6 _% /- G Each qas water heater Or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other s 4L IC Cr.. "t -"'L- SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I}ties ❑ InstallationEl Other Describe work: a: a- /IV L- Y — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service jp0 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP•&� OR ACDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty perjury er Ur ) I y (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NON.RESID, BRANCH CIRCUITS.) NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 50@L� B"Let°x FIXED OR Ex. Occu p•(DUT LETTSS (RESESI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 &' C � ' /'': ' ` O Permit Fee $ j 5 Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Iry I shall not employ any person in any manner so as to become subject �! to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County i , 12�n conp%je/nnc�e of the granting of this permit. X 1 �%/��(.�u"I, i.�-�i.QYlo(Gitr Date - S— �Q Signature of Applicant — Owner >4 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ �� �U OCCUP. GROUP I TYPE OF CONST. I PARCEL -7 HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC Bye/p. , P,rRMI EXPI E.S Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date Receipt No. ! 3 `- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION A PERMIT • I ASSESSOR PAREL NUMBER 72— Z� — //% ZONING BUILDING PERMI k�/nbb C,Si E O/V PHONE SOFTBUILDING VALUATIONOw OWNERS MAILING ADDRESS ({�„G�/ V/WL /• TELEPHANEO C T QACCTTOR'S MAILI ppg ESf�• o ��� _ / CONSTRUCTION LEN ER UNKNOWN Fireplace Total Valuation $ LENDER'S MAIL G ADDRESS N Permit Fee $ ARCHITECT OR EN GI ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I G A DRESS - PLUMBING PERMIT Filing Fee 3.00 ee. Trap 2.00 Repair drainage or vent piping 2.00 .Each SWEDES l- T 9-P• Water piping LOT NO.suq� Z ISION NAME #f 4V PARCEL MAP I7— 7 k7 1 (a -7- Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE � SF [:1Duplex❑ Mobilehome❑ Other G L6;C S'�/� I(2C SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiilj-ties ❑ Installation❑ Other Describe work:_ r✓� D/V [i� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 S,00 Main service EA. ADD'L 100 AMP 2.50 Z,S"o NEW CONST. DWELLING OCCUP.&\. OR ADDNS. ACC, BLDGS. I 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW (CONSTR. / POWER APPARATUS IN) (SINGLE OUTLET CIR. ExOccup(ouTLETs OR FIXTURES 50 @250 . TUS BALBIOQ FIXED APLNS. Ex. Occup.(0UTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 C� U/l4_ Od Permit Fee $ �, S O Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate.of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against Paid County ip conseqlience of the granting of this permit. „ a„QQ �_ �_ &© X Y 4ed Date Signature of Applicant — Owner, Controctor I _J Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Ar 50 occUP. GROUP I TYPE of CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By P MI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ Receipt No. 73 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT